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Why do some life insurance companies require a medical exam, and others do not, for the same coverage? |
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The two life ... |
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My health insurace company is givng me trouble!!!??? |
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Bought new health insurance...need a check up? |
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SG concupiscent sylk | What are most companies offering these days for medical care? |
My company has gone from offering a good medical plan THIS year to one with either a $1500 deductable or one with a $3000 deductable. Both options stink. Are other companies doing this? AND is there a legal requirement for companies to offer medical coverage of any kind? What level of coverage is required? |
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kittie_in_ca
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Employers are not required to offer any type of insurance. Unfortunately, premiums have skyrocketed which forced employers to offer high deductible medical plans to help reduce the cost of premiums.
In CA employer's are required to contribute 50% of a "core" plan (ususally a high deductible plan) but will allow a richer benefit for those employees who are willing to pay the difference. It is unusual; however, for an employer to only offer a high ded. plan without providing a richer plan option.
Example:
Core Plan Insurance Co A HMO 1500 ($1500 ded, 10% coinsurance)
Buy-Up Insurance Co. A HMO 10 ($0 Ded, benefits paid 100%)
Employer pays 50% of the employee only rate for Insurance Co. A's HMO 1500 (at $150 for a 29 yo single employee).
50% x 150 = $75 will be employee contribution
Employee 1 wants the buy-up plan ($250 for 29 yo single employee)
250 - 75 = $175 will be employee contribution
Buy offering this type of buy-up option, the employer's budget is still set at a specific level but will allow employees to make decisions based on their income level and medical needs.
The ability to offer multiple plans really depends on the size of your company and the state you're in. |
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mbrcatz
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Employers are NOT required to offer any health insurance benefits at all.
Most employers are either transferring more cost of the plan to the employees, or changing to cheaper plans. The costs for employer group health policies has been going up about 25% - 50% per year, for the last 5 or 6 years. |
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sarah314
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There is no legal requirement to offer medical coverage of any kind. And if your employer does make the choice to offer medical insurance, there's no legal requirement stating that they must offer a plan with a low deductible.
And yes, many employers are offering the high deductible health plans. One good aspect of that is that many are compatible with Health Savings Accounts (HSAs) - if you decide to keep benefits through your employer's plan, I'd look into seeing whether you qualify to set up an HSA in conjunction with your insurance.
I see hundreds of different employer's benefit plans each year, and these days what you're describing isn't all that rare. Sometimes its the only way the employer can afford to offer coverage at all...be thankful you have any options, some employers just stop offering insurance entirely. |
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arvind_vyas
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Offerings in general:
Headache! Heart-burns!! and Ulcers!!! |
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Barry auh2o
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There is no legal requirement for a company to offer any kind of medical insurance, and many have stopped completely.
What is being offered are plans with extremely high deductables , plus medical savings plans. |
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